Sample Record for 2026-07-14-4
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000991 DEA: 030J5604 EFIS: 0319000297
QA Service Level: 1
DIST-CO-RTE-PM: 03-PLA,NEV-80-49.3/68.7
Work Description: RCP, WSP, AND ELECTRICAL SYSTEMS.
Location Description: PLACER AND NEVADA COUNTIES FROM 0.3 MILE EAST OF DRUM FOREBAY OVERCROSSING TO 0.2 MILE EAST OF TROY UNDERCROSSING
Contractor Name: MERCER-FRASER COMPANY
Contractor Address: PO Box 1006, Eureka, CA 95502
Resident Engineer: Unknown Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-07-14-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 07/14/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/15/2026
The quantity of what the sample constitutes: 1 of 12
A brief description of the sample: F1554 Grade 55 HDG Anchor Bolts
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Circle
Material Information
Rocap Number(s): N/A
Heat Number(s): 1201077212
Nut Mfg. Lot Number(s): None
Washer Mfg. Lot Number(s): None
Bolt Specification: F1554 Gr.55
Bolt Length(s): 54"
Nut Specification: None
Washer Specification: None
Finish: Galvanize
Diameter/Size: 2-1/4
Bolt Mfg. Lot Number: 120107721221
Rocap Test Requirement(s): None
Lubricant Requirements(s): None
Washer Inner Diameter(s): None
Test Results
Test
DIME Test ID: 2026-07-14-4-1
Test Method: ASME B1.2-83r17: (Pitch Diameter) Gages and Gaging for Unified Inch Screw Threads - Errata May 1992 (Pitch Diameter)
Submitted By Organization: CT HQ - Sacramento Structural Materials Testing Laboratory
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: brian.ellis@dot.ca.gov
Organization Phone: (916) 380-8623
Data has not been verified.
